Organization Active NPI

Shyam Purswani, M.D. P.a.

Doing business as South Texas Pain Insitute

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1427227958
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K1005 Issued in TX
Legal business name
SHYAM PURSWANI, M.D. P.A.
Doing business as
South Texas Pain Insitute
Practice address
2455 NE Loop 410
Suite 101
San Antonio, TX 78217-5649
Phone
(210) 590-9080
Fax
(210) 590-9087
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shyam Purswani, M.D.
Title
Owner
Phone
(210) 590-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X K1005 TX Primary

Addresses

Primary practice location

2455 NE Loop 410
Suite 101
San Antonio, TX 78217-5649

Mailing address

PO Box 2458
San Antonio, TX 78298-2458
Phone (210) 590-9080

Other identifiers 2

IdentifierTypeStateIssuer
1703704-01MedicaidTX
1703704-03MedicaidTX

Other names 1

  • South Texas Pain Insitute Doing business as

National Provider Directory

National Provider Directory

Locations

2455 NE Loop 410
Ste 101
San Antonio, TX 78217
Phone (210) 590-9080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1427227958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2458",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982458",
            "telephone_number": "210-590-9080",
            "fax_number": "210-590-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175649",
            "telephone_number": "210-590-9080",
            "fax_number": "210-590-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM PURSWANI, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "PURSWANI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-590-9080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K1005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703704-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703704-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Pain Insitute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.